SMI IMAGING, LLC (NPI# 1891928107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891928107 |
| Entity Type | Organization |
| Organization Name | SMI IMAGING, LLC |
| Other Organization Name | SIMONMED IMAGING - DEER VALLEY |
| Practice Address |
20414 N 27th Ave Ste 150 Phoenix AZ 85027-3246 |
| Mailing Address |
Po Box 7368 Orange CA 92863-7368 |
| Practice Telephone | 6232342520 |
| Practice Fax Number | 6232342530 |
| Mailing Telephone | 7145715000 |
| Mailing Fax Number | 7145715055 |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2010-05-07 |
| Authorized Official Name | HOWARD J SIMON (PRESIDENT) |
| Authorized Official Telephone | 4802642400 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
OTC4685 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | P00811052 | 01 | |
| AZ | 473352 | 05 |
| Other Name | Type Code |
|---|---|
| SimonMed Imaging - Deer Valley | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972004489 | Smi Imaging, LLC | Radiology | 6740 E Camelback Rd Ste 100, Scottsdale, AZ 85251-2096 | 2018-02-21 |
| 1124552120 | Smi Imaging, LLC | Clinic/Center | 2502 E Camelback Rd, 160, Phoenix, AZ 85016-4254 | 2017-04-17 |
| 1255870267 | Smi Imaging, LLC | Clinic/Center | 4219 E Bell Rd, Phoenix, AZ 85032-3366 | 2017-02-23 |
| 1841512407 | Smi Imaging, LLC | Radiology | 36297 N Gantzel Road, Suite 101, Queen Creek, AZ 85240 | 2010-02-24 |
| 1932421591 | Smi Imaging, LLC | Radiology | 9125 W Thunderbird Rd, Suite 105, Peoria, AZ 85381-4920 | 2010-02-24 |
| 1437471323 | Smi Imaging, LLC | Radiology | 13838 S 46th Pl Ste 200, Phoenix, AZ 85044-7803 | 2010-02-19 |
| 1598098725 | Smi Imaging, LLC | Radiology | 1870 W Frye Rd Ste 3, Chandler, AZ 85224-6233 | 2009-09-04 |
| 1225361454 | Smi Imaging, LLC | Radiology | 1425 S Greenfield Rd Bldg 2, Suite 114, Mesa, AZ 85206-5505 | 2009-09-04 |
| 1043543275 | Smi Imaging, LLC | Radiology | 5410 W Thunderbird Rd Ste 221, Glendale, AZ 85306-4711 | 2009-09-04 |
| 1972736163 | Smi Imaging, LLC | Radiology | 9403 W Thunderbird Rd, Peoria, AZ 85381-4825 | 2009-09-03 |
| Street Address |
20414 N 27TH AVE STE 150 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85027-3246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306312 | Ashley Nicole Felipe | Registered Nurse | 25700 N 21st Ave, Phoenix, AZ 85027 | 2020-08-10 |
| 1942784376 | Crystal Rodriguez | Dentist | 2550 W Union Hills Dr Ste 201, Phoenix, AZ 85027 | 2018-09-21 |
| 1790284776 | Lydia Kuuipo Chong | Nurse Practitioner | 20414 N 27th Ave #300, Phoenix, AZ 85027 | 2018-02-06 |
| 1457867004 | Kristi Marie Mathews | Nurse Practitioner | 19829 N 29th Avenue, Phoenix, AZ 85027 | 2017-12-19 |
| 1710348362 | The Empower House, LLC | Community Based Residential Treatment Facility, Mental Illness | 18631 N. 19th Ave., Suite 158-305, Phoenix, AZ 85027 | 2016-03-10 |
| 1972979656 | Dr Daniel H Yohannes D.d.s., PC | Dentist | 602 W. Union Hills Dr, #8, Phoenix, AZ 85027 | 2015-08-17 |
| 1013346857 | Dentistry At 35th Avenu | Dentist | 18635 N 35th Avenue, Phoenix, AZ 85027 | 2013-11-02 |
| 1437592102 | Ammar Alobaidy | Psychiatry & Neurology | 21410 N 19th Ave Ste 151, Phoenix, AZ 85027 | 2013-04-12 |
| 1588900021 | Jill Elizabeth Maroscia | Social Worker | 19636 N 27th Ave #106, Phoenix, AZ 85027 | 2013-01-02 |
| 1124394515 | Sfjg Holdings LLC | Dentist | 3414 W. Union Hills Dr, Suite 12 & 14, Phoenix, AZ 85027 | 2012-03-29 |
| Find all providers in zip 85027 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598243867 | Mdig of Florida, LLC | Radiology | 10835 N 25th Ave Ste 140, Phoenix, AZ 85029-3408 | 2018-07-30 |
| 1265974836 | Teleradiology Specialists LLC | Radiology | 4813 E Piccadilly Rd, Phoenix, AZ 85018-5540 | 2016-11-13 |
| 1447630140 | Mohamad Nass | Radiology | 34718 N 24th Ave, Phoenix, AZ 85086-6605 | 2015-06-08 |
| 1659703304 | Tesla Imaging and Medical | Radiology | 43817 Nth 50th Dr, Phoenix, AZ 85087 | 2013-08-05 |
| 1962748574 | Alysha Keren Vartevan | Radiology | 4130 E Van Buren St Ste 100, Phoenix, AZ 85008-6996 | 2012-12-31 |
| 1003177767 | Donald A Tobias | Radiology | 97 Biltmore Est, Phoenix, AZ 85016-2820 | 2012-05-30 |
| 1518279660 | Nicholas Bhojwani | Radiology | 2625 East Camelback Road, Unit 261, Phoenix, AZ 85016 | 2010-07-06 |
| 1437471323 | Smi Imaging, LLC | Radiology | 13838 S 46th Pl Ste 200, Phoenix, AZ 85044-7803 | 2010-02-19 |
| 1396978250 | North Mountain Imaging Specialists, LLC | Radiology | 2500 N. Utopia Road, Suite 100, Phoenix, AZ 85027 | 2009-08-26 |
| 1154558039 | Millicent Gentry | Radiology | 1313 E Osborn Rd Ste 213, Phoenix, AZ 85014-5695 | 2009-06-17 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.